Sei sulla pagina 1di 13

Is There Any Scientific Basis of Hawan to be used

in Epilepsy-Prevention/Cure?
1 1 1 2 1
Review Parveen Bansal , Ramandeep Kaur , Vikas Gupta , Sanjiv Kumar , RamanPreet Kaur
1
Journal of Epilepsy Research Baba Farid University of Health Sciences University Centre of Excellence in Research; 2National Medicinal Plant
pISSN 2233-6249 / eISSN 2233-6257 Board, Department of AYUSH, Punjab, India

Epilepsy is a neuropsychiatric disorder associated with religiosity and spirituality. Nasal drug delivery
systems are the best for diseases related to brain. In older times RishiMuni, ancient scholars and physi-
cians used to recommend Hawan for mental peace and well being. Gayatri Mantra also tells that sugh-
andhim (aroma, fragrance) puushtivardhanam (gives rise to good health). Om triambkum yajamahe,
sughandhim puushtivardhanam, urvarukmev vandhanaat, mrityu mokshay mamritaat! Hawan is a sci-
entific experiment in which special herbs (Hawan Samagri) are offered in the fire of medicinal woods ig-
nited in a specially designed fire pit called agnikuñda. Hawan seems to be designed by the ancient
scholars to fight with the diseases of the brain. Our metadata analysis demonstrates that the compo-
nents of Hawan are having a number of volatile oils that are specifically useful for epilepsy through one
Received August 21, 2015
or the other mechanism of action. Due to high temperature of fire the vapors of these oils enter into the
Accepted October 1, 2015
Corresponding author: Parveen Bansa central nervous system through nasal route. The routine of performing Hawan might keep the threshold
Baba Farid University of Health Sciences value of the therapeutic components in the body and help in preventing epilepsy. In the present manu-
University Centre of Excellence in
script authors have tried to highlight and integrate the modern and ancient concepts for treatment and
Research
Tel. 08872016290 prevention of epilepsy. (2015;5:33-45)
Fax. 01639256252
E-mail; ucer_bfuhs@rediffmail.com Key words: Epilepsy, Hawan, Traditional therapies, Volatile oil

8
Introduction onstrated in epilepsy management.
In ancient times this disease was considered as a sacred disease
Epilepsy is a neuropsychiatric disorder with high prevalence among and a number of superstitious measures used to be taken to pre-
children and young adults. In India, about 10 million people suffer vent/cure it. Yajurveda advocates performing of Hawan every day,
from epilepsy with a prevalence of about 1.9% in rural areas and morning and evening to attain spiritual enlightenment, mental
9
0.6% in urban locales. The greater prevalence of epilepsy in rural peace, purification of the mind and environment. From time im-
areas is a testament to impact of stigma that surrounds this illness on memorial, human beings have used smoke of medicinal plants for
levels of treatment that Indians receive. About 95% of people in curing disorders. Smoke produced from natural substances has been
India who suffer from epilepsy are never treated for it and almost half used extensively in many cultures and famous ancient physicians
1,2
of sufferers do not have access to anti epileptic drugs. It is the most have described and recommended such use. Under the Saraswati-
3,4
expensive chronic neurological brain disorder in Europe. According Indus civilization 7500 BC,10 the great Rishis (saints) used to perform
to the World Health Organization and the World Bank, the costs of agnihotra-yagnas to purify the environment as described in
5
epilepsy constitute 0.5% of all diseases. Rigveda-the most ancient compilation of knowledge on earth by sub-
In ancient as well as present times, epilepsy has been associated limating the Hawan samagri (mixture of wood with odoriferous and
6
with religiosity and spirituality. People with epilepsy of comparable medicinal herbs) in the fire accompanied by the chanting of Vedic
11
severity may differ widely in quality of life (QOL). A study considered mantras described in Rigveda. Smoke produced at high temper-
the possible role of spirituality and it has been reported that spiritu- atures is considered as a simple way of administering a drug, which
7
ality could contribute to QOL in epilepsy. In another study, the com- exhibits rapid pharmacological activity when inhaled. The sublimated
plementary and alternative approaches have been successfully dem- vital elements and herbal medicines inhaled in Yagya first reach the

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/)
which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
34 Journal of Epilepsy Research Vol. 5, No. 2, 2015

brain, followed by lungs and other subtle components of the body. Peroxidation of neuronal membranes modifies their electrophysio-
Thus, it has a direct healing effect on brain born diseases and com- logical properties and leads to abnormal bioelectric discharges of
plexities. Ayurveda also recommended nasal route as a preferred neurons. Among diseases involving dysfunction in the mitochondrial
12
mode of administration of drugs for epilepsy. In addition to it, an- structures, epilepsy is prominent. Mitochondria have important vital
cient scholars also recommended the patients to hold Hawans in a functions such as energy production, cellular harm control, neuro-
frequently managed manner but the people used to follow just be- transmitter synthesis and free radical production however, it is still
19
cause of superstitions. So the present manuscript is designed to high- not clear which of these functions is affected in epileptic seizures. It
light the scientific evidences that support possible prevention/cure of is interesting to note that oxygen stress and mitochondrial dysfunc-
17,20
epilepsy through Hawan. The present manuscript is intended to high- tion may both cause and be caused by epileptic attacks. Now a
light and integrate the modern and ancient concepts for treatment day work is focused on the possible interaction between oxidative
and prevention of epilepsy. stress resulting in disturbance of physiological signaling roles of cal-
cium and free radicals in neurons, mitochondrial dysfunction, cell
Biochemical/molecular view of epilepsy 21
damage and epilepsy. Role of oxygen stress has been well demon-
Epileptic seizures caused by imbalance between excitatory and in- strated and discussed in experimental animal model of epileptic
19, 22, 23
hibitory processes in the brain are due to abnormalities in the mem- seizures.
brane properties of neurons, changes in the ionic micro environment
surrounding the neuron, decreased inhibition of neurotransmission Mechanism of action of present drug module for
(by gamma-amino butyric acid, GABA) or enhanced excitatory neuro- epilepsy
transmission by the acidic amino acid glutamate. All ionotropic gluta- The objective of the therapeutic management of seizures with
+ +
mate receptors are permeable to Na and K and it is the influx of medication is to control the seizures with minimal adverse side
+ +
Na and outflow of K through these channels that contribute to effects. Although the actions of each AED have unique characteristics
membrane depolarization and generation of the action potential. The and some drugs may act by multiple mechanisms, the anti-seizure ac-
++
n-methyl d-aspartate (NMDA) receptors also has a Ca channel that tions of these drugs can be grouped into four broad categories like,
++
is blocked by Mg ions in the resting state, but under conditions of modulation of voltage-dependent sodium, calcium or potassium
++
local membrane depolarization, Mg is displaced and channel be- channels; increase in GABA-ergic inhibition via actions on GABAA re-
++ ++
comes permeable to Ca ions. Influx of Ca tends to further depo- ceptors or on GABA synthesis, reuptake, or degradation, decreased
++
larize the cell, and is also thought to contribute to Ca mediated synaptic excitation via actions on ionotropic glutamate receptors;
neuronal injury under conditions of excessive neuronal activation modulation of neurotransmitter release via presynaptic mechanisms.
(e.g. status epilepticus) potentially leading to cell death, a process The drugs presently available for epilepsy are having renowned side
13,14
termed excitotoxicity. effects like tolerance, dependence, and long term defects like psy-
In epilepsy, when the number of free radicals in the brain neurons chosis, osteoporosis etc.
increases, this interferes with respiratory chain in the mitochondria,
destabilizes the lysosomal membranes, and lowers the convulsion What is Hawan
15-17
threshold. Neuronal firing may lead to a number of neuro- Hawan is a Sanskrit word which refers to any ritual that involves
chemical changes and cascades of events at the cellular and molec- making offerings into a consecrated fire. It was done by ‘Rishis ’ in
ular level like mitochondrial dysfunction, increased ROS and nitric ox- early period and is an important religious practice in Hinduism where
ide (NO) which precedes neuronal degeneration and death with pos- they are part of most Sanskar ceremonies. They are also prevalent in
sible subsequent epileptogenesis. Experimental data indicate in- current-day Buddhism and Jainism. A consecrated fire is the central
volvement of NO in pathophysiology of epileptic seizures by decreas- element of every Hawan ritual however the procedure and items of-
ing synaptosomal GABA up-take and reduced availability of GABA at fered to the fire vary by occasions/ceremony or by the benefit ex-
the synapses leading to an increase of neuronal firing. Mitochondria pected from the ritual. A Hawan (homam, yagya or agnihotra) is a sci-
are emerging as key participants in cell death because their associa- entific experiment in which special herbal/plant medicinal prepara-
18
tion with an over-growing list of apoptosis-related problems. tions (Hawan Samagri ) are offered in the fire of medicinal woods ig-

Copyright ⓒ 2015 Korean Epilepsy Society


Parveen Bansal, et al. Epilepsy is a neuropsychiatric disorder associated 35

nited in a specially designed inverted pyramid shaped fire pit or con- and prophylactic measure. For medication and direct delivery of
tainer (called agni-kuñda). The specific shape and size of the ag- drugs to the brain, drugs need to pass blood brain barrier. Other pre-
ni-kuñda, the arrangement of wood pieces in it, the time-frequency requisite for brain delivery is the nano-form or vapor form of drug
and amount of Hawan Samagri account for controlled chemical proc- that can be easily taken up through mucous membrane. These days
essing in the fire and lead to sublimation, chemical conversion and/or the formulations are being designed in such a way that drug delivery
transformation into vapor phase of the herbal/plant medicinal prepa- is targeted and desired concentration of the drug is delivered at a tar-
24-27
ration leading to release of medicinal phytochemicals. The de- get site where required drug concentration is needed.
composition and transformation (into vapor or gaseous phase/colloi- The rapid intranasal delivery of therapeutic agents such as nerve
dal forms, etc) of specific substances in the yagya -fire is a scientific growth factor to mouse brain allowed the by-passing of the blood
method of subtlization of matter into energy and expanding its po- brain barrier. The olfactory neural pathway provides both intra-neuro-
tential and positive effects. The electromagnetic waves generated nal (via axonal transport a highly time consuming process) and ex-
thereby compounded with the sonic signals encoded in the mantras tra-neuronal (via bulk flow transport through peri-neural channels
31
help in intensifying and transmitting the desired benefits of yagya in taking only few minutes) access to the brain. Traditional ar-
24,26
the surroundings atmosphere and far beyond. oma-therapeutic practices, dating back thousands of years, are thus
st
verified by 21 century neuroscience. Equally fascinating is the evi-
Hypothesis behind action of Hawan on epilepsy dence that an odor-enriched environment increases neurogenesis in
32
A recent study in South Africa has been conducted on traditional adult mouse brain. Since agents promoting neurogenesis in adult
healers. These healers believed that epilepsy could be caused by human brain, including the hippocampus, are being investigated in a
amafufunyana (evil spirits) and that biomedical doctors could not variety of psychiatric disorders (e.g. depression, dementia and schizo-
33
treat the supernatural causes of epilepsy. However, the healers be- phrenia). Thus aromatherapy may have long-term protective poten-
34
lieved that western medicines as well as traditional medicines could tial in terms of regeneration is fascinating. One novel method of
28
be effective in treating the epileptic seizures. In a recent study, it herbal delivery, called ‘Nasya’, involves intranasal delivery of dry
was found that majority of subjects had belief that prayer or pooja or herbal powders or medicated oils and is a practical, non-invasive,
Hawan can reduce the bad effects and ghost can be removed by tan- rapid, and simple method to deliver the therapeutic agents into the
35
triks/ojha for mental disorders. Although literacy level has improved central nervous system (CNS). There are number of advantages of
29
in India, yet there are many false beliefs about Epilepsy. The hy- intranasal delivery as it bypasses the BBB, targets the CNS, reduces
pothesis behind action of Hawan on epilepsy is integration of modern systemic exposure and systemic side effects. Rich vasculature and
and ancient concepts. As per modern science, it is a known fact that highly permeable structure of the nasal mucosa greatly enhance drug
nasal drug delivery systems are the best drug delivery systems for the absorption, minimizes the degradation problem of peptide drugs,
30
diseases related to brain. significantly increases accessibility to blood capillaries, and avoids
It is to be noted here that the traditional systems of treatment of destruction in the gastrointestinal tract, hepatic “first pass” elimi-
physical diseases employ medicines that are mostly administered or- nation and gut wall metabolism allowing increased bioavailability.
ally and therefore, produce effects only after they have been digested The process of yagya magnifies the advantages of the desirable
and absorbed into the system. Most part of the medicine taken orally medicinal phytochemicals and other healthy nutritional substances.
is not even utilized and absorbed by the digestive system. Such medi- Medicines and herbs are vaporized by offering them into the sacrifi-
cines may upset digestion and can have serious side effects. The cial fire and enter the human body in a gaseous form through the
same is more or less true when medicines are directly injected into nose, lungs and the pores of the skin. This might prove to be easiest,
the blood through intravenous route. They produce quicker results, least taxing, least risky and most effective method of administering a
but their adverse side effects are often more pronounced. medicine so as to reach every single cell of the body. Further, the
According to oldest ancient texts on medicine, Nasya hi shirsho thermal and associated aerodynamic characteristics of the base-fire
dwaram means nose is the best route for administration of the drugs cause the sublimated/ vaporized substances to traverse and diffuse
for the diseases related to brain and head. There are some disorders everywhere in the surroundings where yagya is being conducted.
that may require a constant concentration of medicine for curative Hawan seems to be designed by the ancient scholars to fight with

www.kes.or.kr
36 Journal of Epilepsy Research Vol. 5, No. 2, 2015

Figure 1. A diagrammatic representation of components of Hawan Samagri along with probable nultiple mechanism of action.

the diseases of the brain. The components of Hawan are having a ingredients used is cow “Ghee” or “Clarified Butter” which has enor-
number of volatile oils that volatilize due to high temperature of fire. mous beneficial properties. This ghee when burnt like oil will produce
The vapors of these oils enter into the central nervous system through natural fumes that heal the respiratory system and clear any blood
nasal route. The routine of performing Hawan might keep the thresh- clots and bacterium affecting the nasal, lungs and veins. In the bible,
old value of the therapeutic components in the body and help in pre- the Book of Samuels, Chapter 2, “the burning of sins, using the sticks
venting epilepsy (Fig. 1).The scientific studies conducted on various and clarified butter” infers that ghee was frequently used for fire rit-
components of Hawan clearly demonstrates that Hawan was de- uals in biblical times. Essential oil constituents that penetrate the na-
signed for multifaceted action to clean the environment as well as to sal passages, skin or lungs have direct actions on the autonomic
cleanse the body of the toxins responsible for causing diseases re- nervous system that can be grouped as relaxing or stimulating in
35
lated to brain. Hawan fumes are not only used for the disinfection terms of basic responses such as heart rate, blood pressure and respi-
36-42
of air but also it can be environmentally oppressed for the physical, ration, in addition to localized dermal and bronchial effects. The
mental, intellectual and spiritual development based on nano- direct neuro-pharmacological properties of an essential oil, aroma of
27
technology of Hawan. the oil may exert a pleasant response via the olfactory system in turn,
altering the hypothalamic control of hormones and neurotransmitters.
Scientific evidences for effect of Hawan on epilepsy The medium chain fatty acids in pure Ghee get converted into ke-
The purpose of Hawan is to enhance the energy of the human tones and supply the epilepsy patient brain with the energy it needs
body and make it healthy and progressive. The therapeutic value of to survive and if given on a continual basis will support processes in
Hawan is based on the ingredients used (Table 1). One of the main the brain that are involved in healing and repair.

Copyright ⓒ 2015 Korean Epilepsy Society


Parveen Bansal, et al. Epilepsy is a neuropsychiatric disorder associated 37

Table 1. Therapeutic mechanism of action and active constituents of different components of Hawan Samagri on epilepsy
S. Name/botanical
Active component Mechanism of action
No name
1. Saffron Crocetin, picrocrocin, safranal, isophorone, 2,2,6-trimethyl-1,4-cyclohexanedione, Increase in seizure threshold.
Crocus sativus 4-ketoisophorone, 2-hydroxy-4,4,6-trimethyl-2,5-cyclohexadien-1-one as well Block PTZ induced convulsions.
as 2,6,6-trimethyl-1,4-cyclohexadiene-1-carboxaldehyde Increase GABA-ergic neurotransmission.
46,47
Inhibit absence seizures.
Improve tonic clonic seizures.
2. Jatamansi Valeranone, Calerene, patchouol, α-gurjunene, aristolone, β-maaliene, Increase in seizure threshold,
55
Nardostachys spathulenol Inhibit the electroshock convulsions.
57
jatamansi Increase GABA, 5-HT, 5-HIAA.
3. Coconut Monounsaturated fatty acids, Saponins Inhibit PTZ induced convulsions.
76
Cocos nucifera Increase GABA level, serotonin level.
Anticonvulsant.78
80
4. Sesame seeds 1-(5-methyl-2-furanyl)-1-propanone, 3-formylthiophene, Decrease ROS, MDA in epileptics.
Sesamum 2-propyl-4-methylthiazole, 2-ethyl-4-methyl-1H-pyrrole,
indicum 2-ethyl-6-methylpyrazine, 2-ethyl-5-methylpyrazine, 4,5-dimethylisothiazole,
4,5-dimethylthiazole, 2,6-diethylpyrazine, 2-ethyl-2,5-dimethylpyrazine,
1-(2-pyridinyl) ethanone, and 1-(1-methyl-1H-pyrrol-2-yl) ethanone
5. Clove Eugenol, acetyl eugenol, β-caryophyllene, vanillin, crategolic acid, tannins, Increase onset of convulsions.
Eugenia gallotannic acid, methyl salycylate, flavonoids eugenin, kaempferol, Reduce duration of convulsions.
66
caryophyllus rhamnetil, eugenitin and triterpenoids like oleanolic acid. Delay onset on seizures.
Increase GABAergic and glycinergic
67,68
activity.
6. Nutmeg Myristicin and macelignan Inhibit seizures.
Myristica Reduce severity of seizures.58
fragrans
61
7. Nagkesar Sesquiterpene, diterpenes, triterpenes, carboxylic acids and saturated Reduce HLTE.
Mesua ferra hydrocarbons Inhibit MES induced convulsions.
Increase the onset time of seizures.
Decrease duration of seizure.
8. Tagar Valerian, valipotriates and GABA sesquiterpene, diterpenes, triterpenes, Sedative action.
Valeriana carboxylic acids and saturated hydrocarbons Decrease HLTE.
64
wallichi Anticonvulsant activity.
9. Agar Sesquiterpenes, benzylacetone, guaiene, anisylacetone and chromone Sedative action.62
Aquilana derivatives
malaccensis
10. Nagarmotha Cyperone, selinene, cyperene, cyperotundone, patchulenone, sugeonol, Anticonvulsant action.70,71
Cyperus kobusone and isokobusone, pinene (monoterpene) derivatives of
rotundus sesquiterpenes such as cyperol, isocyperol and cyperone.
11. Ber Flavonoids, saponins, tannins, vitamin A, vitamin B, sugars, mucilage, calcium, Anticonvulsant action.73
Zizphus jujuba phosphate & iron. The pulp contains moisture, protein, fat, carbohydrate,
calcium, phosphorus, iron, carotene, thiamine, riboflavin, vitamin C.
12. Phoolmakhane N-nornuciferine, O-nornuciferine, nuciferine, and roemerine, protein, amino Decrease tonic extensor convulsions.
72
Nelumbo acids, unsaturated fatty acids, minerals, starch, and tannins. Anticonvulsant action.
nucifera
13. Mango PGG, polyphenolics, flavonoids, triterpenoids, mangiferin, catechin, isomangiferin, Inhibit PTZ and MES induced convulsions.
Mangifera mangiferin, alanine, glycine, γ-aminobutyric acid, kinic acid, shikimic acid Increase GABA levels.
79
indica and the tetracyclic triterpenoids cycloart-24-en-3β, 26diol, 3-ketodammar-24 Anticonvulsant action.
(E )-en-20S, 26-diol, C-24 epimers of cycloart-25 en 3β,24,27-triol and
cycloartan-3β,24,27-triol.
PTZ, pentylenetetrazole induced; GABA, gamma-amino butyric acid; ROS, reactive oxygen species; MDA, malondialdehyde; MES, maximal
electroshock seizure; HLTE, hind limb tonic extension

Another important ingredient in Hawan is “Camphor” from the ritual, the body’s breathing system is cleared quickly and the person
plant Cinnamomum camphora. When the camphor is burnt in the fire will experience a “high” or elevated feeling during the ceremony.43

www.kes.or.kr
38 Journal of Epilepsy Research Vol. 5, No. 2, 2015

The use of CO2 as a cerebral stimulant to assist the patients suffer- of N. jatamansi DC for its anticonvulsant activity and neurotoxicity,
ing from lack of ventilation is common in medical world. Its use to alone and in combination with phenytoin in rats. The results demon-
control and cure many mental disorders is also known to medical strated a significant increase in the seizure threshold by root extract
science. Small amounts of CO2 inhaled by the persons performing against MES model as indicated by a decrease in the extension/flex-
Yagna acts as a stimulant and more and more aromatic fumes are in- ion ratio. Valeranone prolonged barbiturate anesthesia, impaired ro-
44
haled which help in curing mental disorders. tarod performance, inhibited electroshock convulsions, and po-
55
Crocus sativus L. contains important constituents like crocetin, pic- tentiated the hypothermic effects. Limited results from behavioral
rocrocin, safranal that are main component for characteristic aroma. tests revealed that an extract from N. jatamansi exhibited significant
56
Safranal is the aglycon of picrocrocin and are responsible for many antidepressant activity. In another study the effect of acute and sub
45
pharmacological actions. Saffron increased the seizure threshold, chronic administration of alcoholic extract of the roots of N. jata-
the ability of saffron in to elevate seizure threshold and block penty- mansi DC on nor epinephrine (NE), dopamine (DA), serotonin (5-HT),
lenetetrazole induced (PTZ) convulsions can be attributed to its mod- 5-hydroxyindoleacetic acid (5-HIAA), GABA, and taurine on male al-
ulatory effect on GABA neurotransmission. The probable mechanism bino Wistar rats was conducted. The acute oral administration of the
of anti epileptic activity has been shown to be by increasing the extract did not change the level of NE and DA but resulted in a sig-
GABAergic neurotransmission. They showed that acute admin- nificant increase in the level of 5-HT and 5-HIAA. A significant in-
istration of saffron showed protection against PTZ induced con- crease in the level of GABA and taurine was observed in the
vulsions. The animals showed only mild clonic convulsions followed drug-treated groups when compared to the controls. A 15-day treat-
by recovery. This may be because of their interaction with GABA ben- ment resulted in a significant increase in the levels of NE, DA, 5-HT,
57
zodiazepine receptor complex. Another study also showed that pre- 5-HIAA, and GABA.
treatment with saffron offered a significant protection both during Nutmeg (Myristica fragrans, MF) possesses anticonvulsant activity
the development of PTZ induced kindling and also once kindling was against PTZ, MES and lithium-pilocarpine induced seizures and lower
established. It may be due to blockade of GABAA-ergic mechanism doses were more effective in inhibiting seizures. The MF was without
46,47
by both acute and chronic treatment of saffron. In another study, any significant effect on picrotoxin-induced convulsions and motor
ethanolic and aqueous extracts decreased the duration of tonic coordination but potentiated haloperidol induced catalepsy sig-
48,49
seizures. Among the constituents of saffron extract crocetin is nificantly. MF indicated signs of both CNS depression as well as
mainly responsible for the above pharmacological activities. In tradi- stimulation. In various animal models of seizures used in study, the
tional medicine, the stigmas of this plant have been used as an anti- anticonvulsant activity of MF decreased with increasing doses. In sta-
50
convulsant remedy. The aqueous and ethanolic extracts of C. sat- tus epilepticus, the animals receiving MF in a dose of 10 mg/kg re-
ivus have shown anticonvulsant activity in PTZ and maximal electro- duced the severity of seizures at much earlier time. These observations
shock seizure (MES)-induced seizures. Agents affecting the PTZ test support the biphasic effect of MF on the central nervous system. MF
can inhibit absence seizures. The extracts have also been shown to was without any effect on the duration of pentobarbitone- induced
49
improve tonic clonic seizures. The mechanism (s) of anticonvulsant sleep. Though the MES test predicts activity against generalized ton-
activity of the extracts is not clear. Saffron has been reported to have ic-clonic and cortical focal seizures and the PTZ test against absence
some behavioral effects on the central nervous system. In one study seizures, the underlying neuronal abnormality is poorly understood.
an alcoholic extract of decreased the motor activity and prolonged Diminution of brain GABA level has been reported after sub-con-
51 58
the sleeping time induced by hexobarbital. Another component of vulsive dose of PTZ. Picrotoxin, the antagonist of GABA at the post-
saffron, crocin did not show any effect in pentylenetetrazole‐induced synaptic receptors, induced seizures in all the animals and its effect
52
convulsions in mice. was not antagonized even at the dose of 100 mg/kg suggesting that
59,60
Jatamansi is a reputed Ayurvedic herb and used in various multiple GABA may not be involved in the anticonvulsant activity of MF.
formulations. jatamansi has been used in the treatment of many dis- Nagkeshwar (Mesua ferra) is also a component of Hawan samagri.
ease and has several activities including anticonvulsant activity, anti- The ethanolic extract of M. ferrea flowers have been reported to re-
parkinson’s activity, tranquillizing activity, hepatoprotective, neuro- duce the duration of Hind limb tonic extension in a dose dependent
53 54
protective etc. Rao et al. have studied ethanol extract of the roots manner against MES model and inhibited MES-induced convulsions.

Copyright ⓒ 2015 Korean Epilepsy Society


Parveen Bansal, et al. Epilepsy is a neuropsychiatric disorder associated 39

Data also showed that M. ferrea flowers significantly increased the The ethanol extract of Cocos nucifera was tested for possible phar-
onset time and decreased the duration of seizures by electroconvulsive macological effects on experimental animals. Pretreatment with ex-
61
shock. Agarwood smoke functions as endocrine disruptor and Agar tract caused significant protection against PTZ induced convulsions.
62
wood have sedative property. Tagar wood Valeriana wallichii is an The behavioral studies on mice indicate CNS depressant activity of
important component of Hawan reported to contain valepotriates the ethanol extract of C. nucifera. EECN potentiated significantly the
and valerinic acids (with putative pharmacological activities). Root duration of pentobarbital, diazepam and meprobamate induced
hydroethanolic extract have shown a dose dependant reduction of sleep in mice, suggesting probable tranquilizing action as well as
74,75
hind limb tonic extensor phase indicating potential antiepileptic ef- CNS depressant action. It was found to increase the brain seroto-
fect on grand mal type of epilepsy in man. The extract didn’t show nin and GABA level in mice (unpublished data). Therefore, profound
63
any adverse effects on motor coordination. Wood extract used for analgesic and anticonvulsant activities produced by extracts may be
64 76
its sedative action and anticonvulsant activity have CNS depressant related to the increased brain serotonin and GABA level in mice.
65
action and also have anti-convulsant effect. The mechanism whereby extract depressed awareness, touch and
Clove is also an important part of Hawan Samagri. Clove essential pain responses, righting reflex, pinna reflex, corneal reflex, and grip
oil (CEO) has been shown to significantly increase the onset of con- strength may also be due to synapse block of the efferent pathway or
77
vulsion and reduce its duration in dose dependent manner compared by overall CNS depressant action. The exact chemical components
to the control for strychnine and picrotoxin-induced convulsion. The responsible for such CNS depressant activity of extract are not known.
study indicates anticonvulsant, anxiolytic and hypnotic activity of Preliminary phytochemical studies revealed that it contains saponin
78
CEO. The anticonvulsant activity of a novel compound is not meas- which might be responsible for anticonvulsant properties of extract.
ured only by its ability to prevent convulsions but also to delay the The extracts also enhanced sleeping time, analgesic, and anti-
66
onset of seizures or to reduce death rate. These observations also convulsant activities and reduced different behavioral reflexes. In a
suggest that the CEO has considerable glycinergic and GABA-ergic study 1,2,3,4,6-penta-O-galloyl-β-d-glucopyranose (PGG) isolated
potentiating mechanisms. Glycine and GABA are amino acids, which from methanolic leaf extracts of Mangifera indica showed significant
act as inhibitory neurotransmitters in the central nervous system and and dose-dependent inhibition of PTZ and MES-induced convulsions.
their inhibition has been implicated in convulsions. Strychnine, a po- Furthermore, PGG administration showed significant decrease in the
tent spinal cord convulsant, blocks glycine receptors selectively to in- locomotor activity as an indication of its CNS-depressant property;
duce excitatory response in the central nervous system. Picrotoxin, also, PGG has significantly increased the GABA levels in the cer-
on the other hand, blocks GABAA receptors to induce generalized ebellum and whole brain other than the cerebellum. In conclusion,
67
seizures. The anticonvulsant action of the CEO was probably due to PGG isolated from M. indica showed potent anticonvulsant activity,
inhibition of the effects of strychnine and picrotoxin at glycine and and possible mechanism may be due to enhanced GABA levels in the
79
GABAA receptor sites respectively. CEO has also been shown to act brain.
68
against neurotoxic death usually caused by chemical convulsants. The pathogenesis of epilepsy has been strongly affected free radi-
69
Nagaramotha (Cyperus rotundus) is an important herb in the Ayurveda. cals and authors have tried to hypothesize antioxidant action (Table
Cyperotundone and α-cyperone compounds have been reported 2) of each component of Hawan Samagri. Components of Hawan like
from essential oil of C. rotundus rhizomes. The effect of Cyperus es- Guggal, Saffron, Almond, Jatmansi and Coconut scavenge free radi-
culentus and Cyperus rotundus essential oils has been reported as cals and hence might be helpful to stop the pathogenesis of the
anticonvulsant (MES produced convulsion). The results showed dose disease. Sesamum indicum, Sesamin is a well-known antioxidant
dependent activity in the maximal electroshock (MES) induced con- from sesame seeds and it scavenges free radicals and significantly
70 80
vulsion in comparison to Diclofenac sodium. Nagarmotha is also decreased ROS.
71
known to have Iso curcumenol used as sedative. Nelumbo nucifera Nitric Oxide is an important neurotransmitter and also related to
72
have reduced the tonic extensor convulsion induced by MES. The synaptic plasticity, neuronal excitability regulation, and epileptic
81
wood of Zizphus jujube is used in Hawan and the hydro-alcoholic ex- activity. NMDA glutamate receptors activate calcium release via
tract of z. jujuba demonstrate the anticonvulsant effect as well as NMDA receptor that consequently activates calcium calmoduline
73
amelioration of cognitive impairment induced by seizures in rats. pathway to increase neuronal nitric oxide synthase protein expression

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40 Journal of Epilepsy Research Vol. 5, No. 2, 2015

Table 2. Components of Hawan Samagri along with probable multiple mechanism of action
S. No Name/botanical name GABA/serotonin/5-HIAA Antioxidant activity Nitric oxide level NMDA
1. Saffron (Crocus sativus) × × × ×
2. Jatamansi (Nardostachys jatamansi ) × × ×
3. Coconut (Cocos nucifera) × ×
4. Sesame seeds (Sesamum indicum) ×
5. Clove (Eugenia caryophyllus) × × ×
6. Nutmeg (Myristica fragrans) ×
7. Nagkesar (Mesua ferra) ×
8. Tagar (Valeriana wallichii ) × ×
9. Agar (Aquilana malaccensis)
10. Nagarmotha (Cyperus rotundus) × × ×
11. Ber (Zizphus jujube) ×
12. Phoolmakhane (Nelumbo nucifera) ×
13. Mango (Mangifera indica) ×
14. Ghee
15. Camphor laurel (Cinnamomum camphora)
16. Guggal (Commiphora weightii ) × ×
17. Almond (Prunus amygdalus) ×
18. Gular (Ficus racemosa) ×
19. Chirongi (Bauchanania lanzan)
20. Kapurkachri (Hedychium spicatum)
21. Red sandal (Pterocarpus santalinus)
NMDA, n-methyl d-aspartate

and NO increment in brain different area. The higher NO level is able scavenging effect in concentration dependent manner on superoxide
to increase the induction of generalized epilepsy. NO is known as a anion radicals, hydroxyl radicals, nitric oxide radical, hydrogen per-
molecule that can easily react with O2- radicals in the brain and re- oxide and it had a property of metal chelating and reducing power.
duce the oxidative stress induced damage via deleting free radicals.82 This antioxidant activity could be helpful in preventing epilepsy.89 The
It has been reported in a study that Hawan causes a reduction in methanol and EtOAc fraction of C. wightii has been shown to inhibit
NO levels in the atmosphere.83 The reduction in level of NO may be the NO formation by down regulation of iNOS and COX-2 gene
helpful in reducing the epileptic seizures. Other components of expression.90 Guggulipid prevented the production of NO and ROS
Hawan samagri have also been reported to reduce NO levels through generation91 in rat astrocytoma cell line. Nishaa et al.92 and K.
various mechanisms (Table 2). Methanol extracts of Nardostachys ja- Kamalakara et al.93 have reported nitric oxide scavenging activity of
tamansi have been shown to exert inhibitory effect on nitric oxide M. ferrea pet ether and methanol extract. The biflavone and tannin
(NO) production. The NO level decreased from 100% to 5.8% and fraction form Ficus racemosa bark extract has shown inhibitory action
this decreased levels could prove to have antiepileptic effect. NJ ex- on nitric oxide and hydroxyl radicals in in-vitro studies.94 Cyperus ro-
tracts down regulated iNOS in a dose-dependent manner.84 In anoth- tundus extract suppressed the production of NO and the inhibition of
er study saffron extract has been related to a decrease in the NO NO production by the extract was due to the suppression of iNOS
concentration.85 Lotus seed extract have been shown to possess free protein, as well as iNOS mRNA expression, determined by Western
radical scavenging properties.86,87 Results showed that all the ex- and Northern blotting analyses, respectively.95
tracts inhibit nitric oxide accumulation and thus could be helpful in Also, other constituents of C. rotundus including sugeonol and cy-
antiepileptic action. Results of a study showed that clove oil and its perone, could yield a modulatory effect on glutaminergic system, es-
major constituent, eugenol, were the most active inhibitors of the ni- pecially lowering the opening of NMDA receptor channels,96 which
tric oxide production.88 C. rotundus rhizomes ethanolic exhibits its could lead to anticonvulsant effects. Ziziphus jujube (SZS) has been

Copyright ⓒ 2015 Korean Epilepsy Society


Parveen Bansal, et al. Epilepsy is a neuropsychiatric disorder associated 41

97-100
shown to have sedative, analgesic and antiseizure effects. ing vitality and physical potentials, yagyopathy is also found to be of
2+
NMDA-induced intracellular Ca increase was almost completely immense use in treatment of psychosomatic disorders and psycho-
101
abolished by SZS a qualitatively stronger effect than other herbs logical and psychiatric problems. The sublimated vital elements and
2+
that only partially diminished the Ca response. The subsequent herbal medicines inhaled in Yagya first reach the brain and then to
ROS production and cell death was also reduced by SZS. Similar to RP, the lungs and other parts, the gross as well as the subtle components
SZS also suppresses glutamate release and may suggest additional of the body. Thus, it has a direct healing effect on brain diseases and
101
protection for excitotoxicity. Ethanol extract of Valeriana abolished complexities. The body absorbs the heat of its sacrificial fire and in-
102
cell death in NMDA-stimulated mouse cortical neurons. In the hales the vapors of sublimated herbs through the skin-pores and
same study, kainate-induced cell death was marginally decreased respiration. This elevated level of antioxidants upon reaching the
only, suggesting the selective effect of extract on NMDA-R over other brain and the nerves eliminates the major cause of mental tensions.
102
glutamate receptor subtypes. An inhibitory effect on glutamate The specific energy currents reduced by yagyagni and mantra shakti
binding of NMDA-R was only observed when isoborneol was present have significant remedial effect on the disorders and diseases rang-
103
at a high concentration. It is therefore likely that the NMDA-R-se- ing from headache, migraine, cold to mental dullness, intellectual de-
lective cellular effects reported by Jacobo-Herrera et al. were attrib- ficiencies, depression, insomnia, intemperance, epilepsy, schizo-
112
uted to a high concentration of isoborneol or other extract con- phrenia and varieties of manias.
102
stituents yet to be identified in the ethanol extract. Moreover, the
use of whole extract in targeting NMDA-R activity is cautioned due to Conclusions
the multi-faceted effect on all glutamate receptor subtypes, iono-
tropic and metabotropic. Evidence of the inhibition of post- From the metadata analysis it seems that Hawan has been de-
synaptically located NMDA and kainite receptors by a hydro-etha- signed by the ancient scholars to fight with a plethora of diseases re-
nolic Crocus sativus L extract have been reported, which is partly lated to brain. As explained in text, more than 70% of the compo-
mediated by trans-cocetin. These mechanisms contribute to the neu- nents of Hawan samagri are having a number of volatile oils that vol-
104
roprotective effect of saffron. Saffron has turned out to be the an- atilize due to high temperature of fire. Most of the components have
105
tagonist of postsynaptic NMDA receptors. Several studies have been found to be having anticonvulsant activity through one or the
demonstrated that oxygen free radicals formed by xanthine/xanthine other mechanism. The action of maximum number of herbs is benzo-
oxidase (X/XO) may be involved in the NMDA-mediated neurotoxicity diazepines, Phenobarbital, valproate like action that enhances
106-108
and inhibitory action of glutamate uptake in glial cells. The re- GABA-ergic inhibition. It is quiet likely that the other volatile compo-
sults of another study showed that eugenol attenuated NMDA in- nents those have not been explored for anticonvulsant action could
duced acute neurotoxicity and inhibited NMDA- induced elevation in add to further therapeutic antiepileptic action. The components of
2+
neuronal Ca uptake. Furthermore eugenol prevented acute neuro- Hawan seem to have a multiple action in preventing epilepsy through
nal swelling and reduced neuronal death and significantly reduced scavenging of free radicals, increase in level of antioxidants, decrease
109
oxidative neuronal injury induced by X/XO. Eugenol increased the in level of nitric oxide and other underlying mechanisms. From the
degree of INa activation and reversibly suppressed non-activating INa. pharmacological potentials of the components it can be concluded
+2
In addition, at higher concentrations eugenol diminished L-type Ca that the routine of performing Hawan might keep the threshold value
current and delayed rectifier K+ current. In pilocarpine-induced seiz- of the antiepileptic elements in the body and help in preventing epi-
ures in rats, a lower seizure severity and mortality was noted, though lepsy however concerted efforts are required to prove the hypothesis.
no shorter seizure latency effect was observed. The mechanism of ac-
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